Shie Chang-Bih, Hsu Ping-I, Lo Gin-Ho, Lin Chiun-Ku, Lo Ching-Chu, Cheng Jin-Shiung, Lin Chi-Pin, Chen Wen-Chi, Wang E-Ming, Chen I-Shu, Mok King-Tong, Lai Kwok-Hung
Division of Gastroenterology, Department of Internal Medicine, Kaoshiung Veterans General Hospital, National Yang Ming University of Taiwan, Taiwan.
J Formos Med Assoc. 2003 Jul;102(7):514-6.
Gastroenterologists are often frustrated in their efforts to deliver a feeding tube by endoscopic guidance into the small bowel because of retrograde migration during the withdrawal of the endoscope. We describe a clip assisted endoscopic method whereby a nasoenteric feeding tube can be reliably delivered into the distal duodenum. A nasoduodenal tube with a 3-0 silk suture sewn on its distal tip is inserted into the stomach. The suture on the feeding tube is grasped by a clip-fixing device. Then, the endoscope with feeding tube is advanced into the distal duodenum and the tube is fixed on a mucosal fold by clipping. We used this technique to successfully place nasoenteric tubes into the distal duodenum in 9 patients. There were no procedure-related complications, and no bleeding or perforation due to removal of the feeding tubes was observed. We conclude that this clip-assisted endoscopic method is a reliable modality for placing nasoenteric tubes.
由于在内镜撤出过程中鼻肠管会逆行移位，胃肠病学家在内镜引导下将饲管送入小肠的努力常常受挫。我们描述了一种夹子辅助内镜方法，通过该方法可将鼻肠饲管可靠地送入十二指肠远端。将一根远端尖端缝有3-0丝线的鼻十二指肠管插入胃内。用夹子固定装置夹住饲管上的缝线。然后，将带有饲管的内镜推进到十二指肠远端，通过夹闭将饲管固定在黏膜皱襞上。我们使用该技术成功地为9例患者将鼻肠管置入十二指肠远端。没有与操作相关的并发症，也未观察到因移除饲管导致的出血或穿孔。我们得出结论，这种夹子辅助内镜方法是放置鼻肠管的一种可靠方式。
